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NDC 69367-0172-16 Phenobarbital 20 mg/5mL Details
Phenobarbital 20 mg/5mL
Phenobarbital is a ORAL ELIXIR in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Westminster Pharmaceuticals, LLC. The primary component is PHENOBARBITAL.
MedlinePlus Drug Summary
Phenobarbital is used to control seizures. Phenobarbital is also used to relieve anxiety. It is also used to prevent withdrawal symptoms in people who are dependent ('addicted'; feel a need to continue taking the medication) on another barbiturate medication and are going to stop taking the medication. Phenobarbital is in a class of medications called barbiturates. It works by slowing activity in the brain.
Related Packages: 69367-0172-16Last Updated: 12/01/2022
MedLinePlus Full Drug Details: Phenobarbital
Product Information
| NDC | 69367-0172 |
|---|---|
| Product ID | 69367-172_4d63f5b1-856c-4e52-9543-390de94a2f40 |
| Associated GPIs | 60100060001010 |
| GCN Sequence Number | 003586 |
| GCN Sequence Number Description | phenobarbital ELIXIR 20 MG/5 ML ORAL |
| HIC3 | H2D |
| HIC3 Description | BARBITURATES |
| GCN | 12956 |
| HICL Sequence Number | 001561 |
| HICL Sequence Number Description | PHENOBARBITAL |
| Brand/Generic | Generic |
| Proprietary Name | Phenobarbital |
| Proprietary Name Suffix | n/a |
| Non-Proprietary Name | Phenobarbital |
| Product Type | HUMAN PRESCRIPTION DRUG |
| Dosage Form | ELIXIR |
| Route | ORAL |
| Active Ingredient Strength | 20 |
| Active Ingredient Units | mg/5mL |
| Substance Name | PHENOBARBITAL |
| Labeler Name | Westminster Pharmaceuticals, LLC |
| Pharmaceutical Class | n/a |
| DEA Schedule | CIV |
| Marketing Category | UNAPPROVED DRUG OTHER |
| Application Number | n/a |
| Listing Certified Through | 2024-12-31 |
Package
NDC 69367-0172-16 (69367017216)
| NDC Package Code | 69367-172-16 |
|---|---|
| Billing NDC | 69367017216 |
| Package | 473 mL in 1 BOTTLE (69367-172-16) |
| Marketing Start Date | 2019-07-08 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 0.05575 |
| Pricing Unit | ML |
| Effective Date | 2024-02-21 |
| NDC Description | PHENOBARBITAL 20 MG/5 ML ELIX |
| Pharmacy Type Indicator | C/I |
| OTC | N |
| Explanation Code | 1, 5 |
| Classification for Rate Setting | G |
| As of Date | 2024-02-21 |
This pricing file, entitled the NADAC (National Average Drug Acquisition
Cost) files, provide
state Medicaid agencies with covered outpatient drug prices by averaging
survey invoice
prices from retail community pharmacies across the United States. These
pharmacies include
independent retail community pharmacies and chain pharmacies. The prices
are updated on a
weekly and monthly basis